Individual
DR. SUSAN OLETA MATTOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2600 WILSON ST, SUITE 2, MILES CITY, MT 59301-5094
(406) 233-4219
(406) 233-2503
Mailing address
2600 WILSON ST, SUITE 2, MILES CITY, MT 59301-5094
(406) 233-4219
(406) 233-2503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
363
MT
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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